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HomeMy WebLinkAbout20211684 Ver 1_401 Application_20211115Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID# * 20211684 Version* 1 Is this project a public transportation project?* Yes • No Reviewer List: * Sue Homewood:eads\slhomewood Select Reviewing Office: * Winston-Salem Regional Office - (336) 776-9800 Submittal Type:* 401 Application Does this project require a request for payment to be sent?* Yes No How much is owed?* $240.00 $570.00 Project Submittal Form Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered. Project Type: * For the Record Only (Courtesy Copy) New Project Modification/New Project with Existing ID More Information Response Other Agency Comments Pre -Application Submittal Re-Issuance\Renewal Request Stream or Buffer Appeal Project Contact Information Name: Zan Price Who is submitting the information? Email Address: zan@jenningsenv.com Project Information Project Name: UT East Swan Creek Stabilization Is this a public transportation project? Yes No Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No Unknown County (ies) Yadkin Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document PCN_UT East Swan —Yadkin Co_signed.pdf 354.81 KB UT East Swan Creek Stabilization_Supplemental 28.06KB Info.pdf Yadkin - Cheek - Agent Authorization Form - UT 593.79KB Swan Creek.pdf Existing Condition Photographs.pdf 180.57KB StreamStats UT Swan Creek 0.2 sgmi.pdf 290.28KB DWR Pre -Filing Meeting Request Form (1).pdf 112.88KB UT East Swan Creek Plans.pdf 8.51 MB USDA_Soil_Map.pdf 267.15KB IPaC_ USFW.pdf 444.03KB Only pdf or kmz files are accepted. Describe the attachments or comments: Laserfiche PCN form was having issues so Bev Strickland recommended that I use the PCN pdf form. Please send payment request information to zan@jenningsenv.com. See attached PCN and supporting information. Sign and Submit By checking the box and signing box below, I certify that: • I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief. • I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time. • I agree that submission of this online form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act'); • I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act'); • I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND • I intend to electronically sign and submit the online form. Signature: Submittal Date: Is filled in automatically.